2101 Fairland Road Operations LLC
Physical Therapist in Silver Spring, MD. Organization (NPI-2).
NPI number1598119976
StatusActive
Last updated in NPPESAug 31, 2017
Details
- NPI
- 1598119976
- Entity type
- Organization (NPI-2)
- Legal business name
- 2101 Fairland Road Operations LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2016
- Last updated
- Aug 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 15012 | MD | Yes |
| 225X00000X | Occupational Therapist | 15012 | MD |
Other names
- Fairland Center (Doing Business As)
Practice location
2101 Fairland RdSilver Spring, MD 20904-5427
Phone 301-384-6161
Mailing address
2101 Fairland RdSilver Spring, MD 20904-5427
Phone 301-384-6161
Authorized official
Michael T. Berg
Assistant Secretary
5054684752
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